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Get Form 8379 (rev. January 2006) (fill-in Capable)

), CENTER SIDES. PRINTS HEAD to HEAD PAPER: WHITE WRITING, SUB. 20. INK: BLACK 1 FLAT SIZE: 216 mm (8 2 ") 279 mm (11") PERFORATE: NONE DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Date Form 8379 Action Date Signature O.K. to print Revised proofs requested Injured Spouse Allocation OMB No. 1545-0074 (Rev. January 2006) Department of the Treasury Internal Revenue Service Part I 1 Attachment Sequence No. See instructions. 104 Information About the Joint.

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